The effect of medication therapy management service combined with a national PharmaCloud system for polypharmacy patients

Chang Ming Chen, Li Na Kuo, Kuei Ju Cheng, Wan Chen Shen, Kuan Jen Bai, Chih Chi Wang, Yi Chun Chiang, Hsiang Yin Chen

研究成果: 雜誌貢獻文章

7 引文 (Scopus)

摘要

Background This study evaluated a medication therapy management service using the Taiwan National Health Insurance Administration's PharmaCloud system in a medical center in Taiwan. The new PharmaCloud System, launched in 2013, links a complete list of prescribed and dispensed medication from different hospitals, clinics, and pharmacies for all insured patients. Method The study included patients with polypharmacy (≥5 drugs) at a medication therapy management service from March 2013 to March 2014. A structured questionnaire was designed to collect patients' baseline data and record patients' knowledge, attitudes, and practice scores before and after the service intervention. Phone follow-ups for practice and adherence scores on medication use were performed after 3 months. Results There were 152 patients recruited in the study. Scores for medication use attitudes and practice significantly increased after the service (attitudes: 40.06 ± 0.26 to 43.07 ± 0.19, p < 0.001; practice: 33.42 ± 0.30 to 40.37 ± 0.30, p < 0.001). The scores for medication adherence also increased from 3.02 ± 0.07 to 3.92 ± 0.02 (p < 0.001). Conclusions The PharmaCloud system facilitates accurate and efficient medication reconciliation for pharmacists in the medication therapy management service. The model improved patients' attitudes and practice of the rational use of medications and adherence with medications. Further studies are warranted to evaluate human resources, executing costs, and the cost-benefit ratio of this medication therapy management service with the PharmaCloud system.
原文英語
頁(從 - 到)109-119
頁數11
期刊Computer Methods and Programs in Biomedicine
134
DOIs
出版狀態已發佈 - 十月 1 2016

指紋

Medication Therapy Management
Polypharmacy
Medication Adherence
Taiwan
Health insurance
Medication Reconciliation
Health Knowledge, Attitudes, Practice
Pharmacies
National Health Programs
Costs
Pharmacists
Cost-Benefit Analysis
Personnel
Costs and Cost Analysis
Pharmaceutical Preparations

ASJC Scopus subject areas

  • Computer Science Applications
  • Software
  • Health Informatics

引用此文

The effect of medication therapy management service combined with a national PharmaCloud system for polypharmacy patients. / Chen, Chang Ming; Kuo, Li Na; Cheng, Kuei Ju; Shen, Wan Chen; Bai, Kuan Jen; Wang, Chih Chi; Chiang, Yi Chun; Chen, Hsiang Yin.

於: Computer Methods and Programs in Biomedicine, 卷 134, 01.10.2016, p. 109-119.

研究成果: 雜誌貢獻文章

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abstract = "Background This study evaluated a medication therapy management service using the Taiwan National Health Insurance Administration's PharmaCloud system in a medical center in Taiwan. The new PharmaCloud System, launched in 2013, links a complete list of prescribed and dispensed medication from different hospitals, clinics, and pharmacies for all insured patients. Method The study included patients with polypharmacy (≥5 drugs) at a medication therapy management service from March 2013 to March 2014. A structured questionnaire was designed to collect patients' baseline data and record patients' knowledge, attitudes, and practice scores before and after the service intervention. Phone follow-ups for practice and adherence scores on medication use were performed after 3 months. Results There were 152 patients recruited in the study. Scores for medication use attitudes and practice significantly increased after the service (attitudes: 40.06 ± 0.26 to 43.07 ± 0.19, p < 0.001; practice: 33.42 ± 0.30 to 40.37 ± 0.30, p < 0.001). The scores for medication adherence also increased from 3.02 ± 0.07 to 3.92 ± 0.02 (p < 0.001). Conclusions The PharmaCloud system facilitates accurate and efficient medication reconciliation for pharmacists in the medication therapy management service. The model improved patients' attitudes and practice of the rational use of medications and adherence with medications. Further studies are warranted to evaluate human resources, executing costs, and the cost-benefit ratio of this medication therapy management service with the PharmaCloud system.",
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N2 - Background This study evaluated a medication therapy management service using the Taiwan National Health Insurance Administration's PharmaCloud system in a medical center in Taiwan. The new PharmaCloud System, launched in 2013, links a complete list of prescribed and dispensed medication from different hospitals, clinics, and pharmacies for all insured patients. Method The study included patients with polypharmacy (≥5 drugs) at a medication therapy management service from March 2013 to March 2014. A structured questionnaire was designed to collect patients' baseline data and record patients' knowledge, attitudes, and practice scores before and after the service intervention. Phone follow-ups for practice and adherence scores on medication use were performed after 3 months. Results There were 152 patients recruited in the study. Scores for medication use attitudes and practice significantly increased after the service (attitudes: 40.06 ± 0.26 to 43.07 ± 0.19, p < 0.001; practice: 33.42 ± 0.30 to 40.37 ± 0.30, p < 0.001). The scores for medication adherence also increased from 3.02 ± 0.07 to 3.92 ± 0.02 (p < 0.001). Conclusions The PharmaCloud system facilitates accurate and efficient medication reconciliation for pharmacists in the medication therapy management service. The model improved patients' attitudes and practice of the rational use of medications and adherence with medications. Further studies are warranted to evaluate human resources, executing costs, and the cost-benefit ratio of this medication therapy management service with the PharmaCloud system.

AB - Background This study evaluated a medication therapy management service using the Taiwan National Health Insurance Administration's PharmaCloud system in a medical center in Taiwan. The new PharmaCloud System, launched in 2013, links a complete list of prescribed and dispensed medication from different hospitals, clinics, and pharmacies for all insured patients. Method The study included patients with polypharmacy (≥5 drugs) at a medication therapy management service from March 2013 to March 2014. A structured questionnaire was designed to collect patients' baseline data and record patients' knowledge, attitudes, and practice scores before and after the service intervention. Phone follow-ups for practice and adherence scores on medication use were performed after 3 months. Results There were 152 patients recruited in the study. Scores for medication use attitudes and practice significantly increased after the service (attitudes: 40.06 ± 0.26 to 43.07 ± 0.19, p < 0.001; practice: 33.42 ± 0.30 to 40.37 ± 0.30, p < 0.001). The scores for medication adherence also increased from 3.02 ± 0.07 to 3.92 ± 0.02 (p < 0.001). Conclusions The PharmaCloud system facilitates accurate and efficient medication reconciliation for pharmacists in the medication therapy management service. The model improved patients' attitudes and practice of the rational use of medications and adherence with medications. Further studies are warranted to evaluate human resources, executing costs, and the cost-benefit ratio of this medication therapy management service with the PharmaCloud system.

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